Doulas Unhinged

Ep. 7: Induction: When, Why & What to Expect

Lacey Morgan and Alex Shaw Season 1 Episode 7

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0:00 | 51:04

Induction of labor is one of the most common interventions in modern birth—but it’s also one of the most misunderstood. In this episode, we break down why inductions are offered, what the process typically looks like, and how to navigate the conversation with your provider from an informed and empowered place.

We discuss both the medical and non-medical reasons inductions may be recommended, including the growing trend of elective inductions at 39 weeks. We also dip our toe into why we don't love the ARRIVE Trial for a reason to induce. 

In this episode, we cover:

Common reasons inductions are offered
Elective inductions at 39 weeks and a short critique of the ARRIVE Trial
Inductions offered after 41 or 42 weeks of pregnancy
Personal reasons families may choose induction
Medical indications for induction, including diabetes, gestational hypertension, and preeclampsia
Low amniotic fluid levels and the difference between AFI and single deepest pocket measurements
How the risk of stillbirth—while statistically very small—is often presented and used to encourage compliance rather than informed consent

We also walk through what an induction often looks like in practice:
Calling the hospital to see if there is availability to come in
Starting with cervical ripening agents
The possible use of a Foley balloon or Cook catheter (and why they’re not always used)
Transitioning to Pitocin
Breaking the bag of waters and how that fits into the induction sequence

This episode is designed to help you understand the full picture of induction—so you can ask better questions, weigh your options, and make decisions that align with your values and circumstances.

🎧 Tune in for an honest, grounded conversation about inductions and informed choice in birth.